Within modern dentistry, a change from invasive to non-invasive strategiesfor the treatment of dental caries seems to
be apparent. The foundation ofnon-invasive care is old, but is now interpreted differently as a result of newinsights.
Caries is a dynamic and multi-factorial process that takes place inthe biofilm. There is a growing awareness that dental
professionals are betteroff concentrating on controlling the causes of the disease than merely fightingthe symptoms.
The most important component seems to be the mechanicalcleaning with a toothbrush and fluoride toothpaste. Operative
care is onlynecessary when mechanical cleaning fails to control the caries and when theprocess proceeds into the
dentin or when mechanical cleaning has becomeimpossible due to cavitation. However, a suitable treatment strategy, whichtakes
into consideration the dynamic nature of the caries process, can onlybe indicated when one has a clear picture of both
the caries activity and thespecific caries risk of the individual patient.

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